Provider Demographics
NPI:1528059847
Name:EPSTEIN, BENNET S (PSYD)
Entity type:Individual
Prefix:DR
First Name:BENNET
Middle Name:S
Last Name:EPSTEIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORWELL
Mailing Address - State:MA
Mailing Address - Zip Code:02061-9147
Mailing Address - Country:US
Mailing Address - Phone:781-878-5200
Mailing Address - Fax:
Practice Address - Street 1:75 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NORWELL
Practice Address - State:MA
Practice Address - Zip Code:02061-9147
Practice Address - Country:US
Practice Address - Phone:781-878-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3660103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA042297845OtherDOC FIRST
MA042297845OtherGIC UNICARE
MA042297845OtherPRIVATE HEALTHCARE SYSTEM
MA2707760OtherAETNA
MA042297845OtherGREAT WEST HEALTH CARE
MA703129OtherTUFTS
MA042297845OtherCIGNA
MA042297845OtherTRICARE
MA042297845OtherUNITED HEALTH CARE
MA042297845OtherHCVM
MAW03721OtherBCBS
MA1005715OtherNHP
MA2040554OtherCIGNA
MA329401OtherHVD PILGRIM HEALTH CARE
MA703129OtherTUFTS